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1083493100
MAVIS FERNANDO
LOS ANGELES, CA
NPI
1083493100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95026155)
Enumeration Date
2023-09-27
Last Update Date
2023-11-03
Business Address
MAVIS FERNANDO CPNP-AC/PC
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 323-660-2450
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Mailing Address
MAVIS FERNANDO CPNP-AC/PC
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number:
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